RxDoctor Payments Data

John Kihlken, MD

Pain Medicine · Indianapolis, INNPI 1962799940

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 90.3% of the total across 88 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Nevro Corp. at 49.8% of the total. Reporting peaked in 2019 at $1,335 and has fallen 78.1% since, to $292 in 2025. That places this record below the midpoint for pain medicine clinicians in IN, where the typical reported total is $3,412.

$4,018in general payments, 2019–2025

Across 88 payments — averaging $45.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nevro Corp.$2K
  • Flowonix Medical Incorporated$389
  • Medtronic$378
  • Boston Scientific$325
  • SPR Therapeutics, Inc$243
  • Abbott$157
  • plus $523 from 14 others

What the payments were for

  • Travel & lodging$38910%
  • Food & beverage$3,62990%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$4,018 in reported general payments places this provider in the 50th percentile of 128 pain medicine providers in Indiana.

See all pain medicine providers in Indiana

Medicare billing

Part B allowed, 2024
$123,539
Medicare patients
357
Services billed
1,408

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Gabapentin216$2,296
Pregabalin109$2,294
Baclofen69$1,331
Tizanidine Hcl20$1,120
Meloxicam24$671
Duloxetine Hcl25$509
Cyclobenzaprine Hcl26$428
Methocarbamol13$197
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$81
Cephalexin12$35
Diazepam40$32

Paid to pharmacies, not to this prescriber.

Other pain medicine in Indianapolis

See the full list for Indiana

Where these figures come from

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